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Here is My Question:
Hi does Ocrevus cause weight loss? Answer: Treatment with Ocrevus will have no effect on your weight. However, we usually premedicate people with steroids just prior to their infusion to prevent infusion reactions. Short courses of steroids can cause water retention and short-term weight gain, but should not have a lasting effect on your weight. Revere (Rip) Kinkel MD Director of the Multiple Sclerosis Program Professor of Clinical Neurosciences University of California San Diego
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I am 61 years old...I was diagnosed with RRMS about 10 years ago, I am not taking any DMTs. I got very sick over this past Memorial Day weekend and based on my symptoms, my PCP did some Lyme blood tests... they came back positive lgM and was confirmed by western blot. I began antibiotic treatment right away. I am wondering how a Lyme infection will impact MS. Thank you. Answer: Any infection can potentially worsen MS related symptoms. This applies to Lyme disease as well as more common infections, such as an upper respiratory tract infection or a urinary tract infection. Most patients with uncomplicated, acute Lyme disease will respond promptly to a 14-day course of doxycycline. Transient worsening of MS symptoms during treatment can be managed with rest, hydration, and nonsteroidal anti-inflammatory agents. Rarely, we provide a short course of oral prednisone for worsening MS related symptoms with loss of functional abilities that doesn't respond promptly to several days of antibiotics or for certain manifestations of Lyme disease such as facial palsy or swollen, painful joints. It is uncommon for people with MS to experience long term worsening of their condition related to an acute infection, although this can occur. Revere (Rip) Kinkel MD Director of the Multiple Sclerosis Program Professor of Clinical Neurosciences University of California San Diego Here is My Question:
I haven't had any new lesions in 11 years. Last week, I was told that two 2mm lesions were seen on my MRI. I am currently having no new symptoms. I can't be seen until next month by my neurologist. Is there anything I should do in the meantime? Answer: 1 very small lesion in 11 years as described is phenomenal. The majority of lesions that show up on the brain MRI are clinical silent (or “asymptomatic”). It is unlikely that you need to do anything different over the next month and I’d suggest simply waiting for that appointment. If you have the ability to message your neurologist in the meantime that would be the best course. A, Scott Nielsen MD MMSc Neurologist and MS Specialist at Kaiser Permanente PLEASE NOTE: This information/opinions on this site should be used as an information source only. This information does not create any patient-HCP relationship, and should not be used as a substitute for professional diagnosis and treatment. Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition. |
PLEASE NOTE: This information/opinions on this site should be used as an information source only. This information does not create any patient-HCP relationship, and should not be used as a substitute for professional diagnosis and treatment. Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition.
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